The Nigerian postgraduate medical journal
-
Niger Postgrad Med J · Oct 2017
Randomized Controlled TrialEffects of low-dose intravenous dexamethasone combined with caudal analgesia on post-herniotomy pain.
Caudal analgesia for postoperative pain relief in paediatric day-case surgery has been found to be of short duration, hence the need for addition of adjuncts to prolong the analgesia. ⋯ The use of low-dose intravenous dexamethasone (0.25 mg/kg) in combination with caudal block prolonged duration of analgesia, reduced pain scores and analgesic consumption postoperatively, in children undergoing day-case herniotomy.
-
Niger Postgrad Med J · Jul 2016
Randomized Controlled TrialEfficacy of intravenous tramadol in the control of shivering following spinal anaesthesia for caesarean section.
The aim of this study was to evaluate the efficacy of intravenous tramadol in control of shivering in obstetric patients under spinal anaesthesia and to determine the minimal dose of tramadol that is effective. ⋯ Tramadol is effective in control of shivering during spinal anaesthesia in obstetric patients. Tramadol 0.5 mg/kg controlled shivering better than 0.25 mg/kg. Therefore, 0.5 mg/kg of tramadol can be used to manage shivering following caesarean section under spinal anaesthesia.
-
Niger Postgrad Med J · Mar 2014
Randomized Controlled Trial Comparative StudyA comparative study between caudal bupivacaine and bupivacaine co-administered with neostigmine for postoperative analgesia in children.
The aim of this study was to compare the duration of postoperative analgesia and possible adverse effects produced by caudal bupivacaine 0.25% at 1 ml/kg with or without 1.5 ug/kg of neostigmine in children undergoing unilateral herniotomy. ⋯ The study shows that the addition of low dose neostigmine to caudal isobaric bupivacaine significantly prolonged the time to first analgesic request and hence significantly reduced postoperative analgesic requirement.
-
Niger Postgrad Med J · Dec 2013
Randomized Controlled TrialThe effect of nail polish and acrylic nails on pulse oximetry reading using the Lifebox oximeter in Nigeria.
AIMS AND OBJECTIVES - Pulse oximetry is mandatory during anaesthesia, sedation and transfer of critically ill patients. The effect of nail polish and acrylic nails on the accuracy of saturation reading is inconsistent. The Lifebox pulse oximeter is reliable and recommended for low and middle income countries. ⋯ The mean SpO- for black and brown polish were significantly different from their control mean (p<0.001). CONCLUSION Black and brown polish resulted in a significant decrease in SpO with the Lifebox oximeter. Dark coloured nail polish should be removed prior to SpO2 determination to ensure that accurate readings can be obtained.
-
Niger Postgrad Med J · Sep 2011
Randomized Controlled TrialSubarachnoid bupivacaine and pethidine for caesarean section: assessment of quality of perioperative analgesia and side effects.
This study determined the quality of perioperative analgesia and side effect profile of spinal bupivacaine plus pethidine for caesarean section. ⋯ Bupivacaine with pethidine 7.5mg resulted in better quality of anaesthesia, longer postoperative analgesia with acceptable side effect profile. This will be of value in the management of post-caesarean section pain particularly in the resource poor setting.